Objective To explore the effect of targeted nursing with goal-oriented strategies on blood gas indexes and length of hospital stay in patients with severe pulmonary infection.Methods A total of 152 patients with severe pulmonary infection from May 2021 to September 2022 were selected and randomly divided into a study group(n=76)and a control group(n=76)according to simple random number table method.The control group received routine care,while the study group took targeted nursing with goal-oriented strategy based on the routine care.Respiratory parameters(respiratory rate[RR],oxygen saturation[SaO2],arterial partial pressure of carbon dioxide[PaCO2],arterial partial pressure of oxygen[PaO2]),pulmonary infection score(CPIS),incidence of VAP,length of stay(duration of mechanical ventilation,length of ICU stay,total length of stay),and levels of inflammatory factors(C The levels of reactive protein[CRP]),procalcitonin[PCT],interleukin-6[IL-6]),and the incidence of complications were recorded and compared between the two groups.Results After intervention,RR and PaCO2 decreased while SaO2 and PaO2 increased in both groups(P＜0.05),with the study group showing lower RR and PaCO2,and higher SaO2 and PaO2 than the control group(P＜0.05).The CPIS scores decreased in both after intervention(P＜0.05),with the study group having lower CPIS score and lower VAP occurrence rate(2.63%)compared to the control group(11.84%)(P＜0.05).The study group had shorter duration of mechanical ventilation duration,length of ICU stay and total hospital stay(P＜0.05).The levels of CRP,PCT and IL-6 decreased in both groups after intervention(P＜0.05),with the study group having lower levels of CRP,PCT and IL-6 than the control group(P＜0.05).The complication rate of the study group(2.63%)was lower than that of the control group(11.84%)(P＜0.05).Conclusions Targeted nursing with goal-oriented strategy in patients with severe pulmonary infection can regulate blood gas status,improve respiratory status and pulmonary infection control,down-regulate inflammatory factor expression,reduce the incidence of VAP and complications,and help shorten the recovery time of patients.
Goal-oriented strategyTargeted nursingSevere pulmonary infectionBlood gas indexLength of hospital stay
国家科技期刊平台
NSTL
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